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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45857/psn-pdf
    July 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. July 11, 2017 Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44001/psn-pdf
    May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. May 6, 2015 Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490. https://psnet.ahrq.gov/issue/wrong-si…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866855/psn-pdf
    October 02, 2024 - Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. October 2, 2024 Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. Contemp Nurse. 2…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50938/psn-pdf
    February 26, 2020 - Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. February 26, 2020 Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the impact of a chemotherapy comp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44280/psn-pdf
    July 15, 2015 - Innovation in practice: a multidisciplinary medication safety initiative. July 15, 2015 Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99. https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844768/psn-pdf
    September 11, 2019 - Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73568/psn-pdf
    August 04, 2021 - Coping strategies in health care providers as second victims: a systematic review. August 4, 2021 Kappes M, Romero?García M, Delgado?Hito P. Coping strategies in health care providers as second victims: a systematic review. Int Nurs Rev. 2021;68(4):471-481. doi:10.1111/inr.12694. https://psnet.ahrq.gov/issue/copin…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74870/psn-pdf
    April 11, 2022 - Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. February 23, 2022 Fed Register. February 10, 2022;87: 7838-7840. https://psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice- centers-disease…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42656/psn-pdf
    April 21, 2015 - Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. April 21, 2015 Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "technovigilance": an ethnographic case…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44677/psn-pdf
    June 07, 2016 - Computerised prescribing for safer medication ordering: still a work in progress. June 7, 2016 Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677. https://psnet.ahrq.gov/issue/comput…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863225/psn-pdf
    February 28, 2024 - Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients. February 28, 2024 Fernandez H, Ayo-Vaughan M, Zephyrin LC, et al. New York, NY: The Commonwealth Fund; February 15, 2024. https://psnet.ahrq.gov/issue/revealing-disparities-health-care-workers-observations-discrimination-a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839812/psn-pdf
    November 09, 2022 - Measuring psychological safety and local learning to enable high reliability organisational change. November 9, 2022 Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e001757. doi:10.1136/bmjoq-2021-00175…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43779/psn-pdf
    May 28, 2015 - Debriefing in the emergency department after clinical events: a practical guide. May 28, 2015 Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019. https://psnet.ahrq.gov/issue/debri…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841770/psn-pdf
    December 21, 2022 - A recent two-fold increase in medical adverse event deaths among US inpatients. December 21, 2022 Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. https://psnet.ahrq.gov/issue/recent-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47158/psn-pdf
    August 15, 2018 - A standardized handoff simulation promotes recovery from auditory distractions in resident physicians. August 15, 2018 Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238. doi:10.1097/SIH.00…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836965/psn-pdf
    April 20, 2022 - We are not there yet: a qualitative system probing study of a hospital rapid response system. April 20, 2022 Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/pts.0000000000001000. https://psn…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48073/psn-pdf
    June 19, 2019 - Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. June 19, 2019 Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308. https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions- advance-surgical Surg…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838071/psn-pdf
    September 14, 2022 - Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. September 14, 2022 Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/00185787211037545. https://psnet.ahrq.gov/issu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43200/psn-pdf
    May 21, 2014 - How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. May 21, 2014 Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115. https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…

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